The health economic burden that acute and chronic wounds impose on an average clinical commissioning group/health board in the UK. Guest, J. F., Vowden, K., & Vowden, P. Journal of Wound Care, 26(6):292--303, June, 2017. doi abstract bibtex OBJECTIVE: To estimate the patterns of care and related resource use attributable to managing acute and chronic wounds among a catchment population of a typical clinical commissioning group (CCG)/health board and corresponding National Health Service (NHS) costs in the UK. METHOD: This was a sub-analysis of a retrospective cohort analysis of the records of 2000 patients in The Health Improvement Network (THIN) database. Patients' characteristics, wound-related health outcomes and health-care resource use were quantified for an average CCG/health board with a catchment population of 250,000 adults ≥18 years of age, and the corresponding NHS cost of patient management was estimated at 2013/2014 prices. RESULTS: An average CCG/health board was estimated to be managing 11,200 wounds in 2012/2013. Of these, 40% were considered to be acute wounds, 48% chronic and 12% lacking any specific diagnosis. The prevalence of acute, chronic and unspecified wounds was estimated to be growing at the rate of 9%, 12% and 13% per annum respectively. Our analysis indicated that the current rate of wound healing must increase by an average of at least 1% per annum across all wound types in order to slow down the increasing prevalence. Otherwise, an average CCG/health board is predicted to manage \textasciitilde23,200 wounds per annum by 2019/2020 and is predicted to spend a discounted (the process of determining the present value of a payment that is to be received in the future) £50 million on managing these wounds and associated comorbidities. CONCLUSION: Real-world evidence highlights the substantial burden that acute and chronic wounds impose on an average CCG/health board. Strategies are required to improve the accuracy of diagnosis and healing rates.
@article{guest_health_2017,
title = {The health economic burden that acute and chronic wounds impose on an average clinical commissioning group/health board in the {UK}},
volume = {26},
issn = {0969-0700},
doi = {10.12968/jowc.2017.26.6.292},
abstract = {OBJECTIVE: To estimate the patterns of care and related resource use attributable to managing acute and chronic wounds among a catchment population of a typical clinical commissioning group (CCG)/health board and corresponding National Health Service (NHS) costs in the UK.
METHOD: This was a sub-analysis of a retrospective cohort analysis of the records of 2000 patients in The Health Improvement Network (THIN) database. Patients' characteristics, wound-related health outcomes and health-care resource use were quantified for an average CCG/health board with a catchment population of 250,000 adults ≥18 years of age, and the corresponding NHS cost of patient management was estimated at 2013/2014 prices.
RESULTS: An average CCG/health board was estimated to be managing 11,200 wounds in 2012/2013. Of these, 40\% were considered to be acute wounds, 48\% chronic and 12\% lacking any specific diagnosis. The prevalence of acute, chronic and unspecified wounds was estimated to be growing at the rate of 9\%, 12\% and 13\% per annum respectively. Our analysis indicated that the current rate of wound healing must increase by an average of at least 1\% per annum across all wound types in order to slow down the increasing prevalence. Otherwise, an average CCG/health board is predicted to manage {\textasciitilde}23,200 wounds per annum by 2019/2020 and is predicted to spend a discounted (the process of determining the present value of a payment that is to be received in the future) £50 million on managing these wounds and associated comorbidities.
CONCLUSION: Real-world evidence highlights the substantial burden that acute and chronic wounds impose on an average CCG/health board. Strategies are required to improve the accuracy of diagnosis and healing rates.},
language = {eng},
number = {6},
journal = {Journal of Wound Care},
author = {Guest, J. F. and Vowden, K. and Vowden, P.},
month = jun,
year = {2017},
pmid = {28598761},
keywords = {Cost, burden, clinical commissioning group, health board, ulcers, wounds},
pages = {292--303}
}
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F.","Vowden, K.","Vowden, P."],"year":2017,"bibtype":"article","biburl":"http://bibbase.org/zotero/veegee78","bibdata":{"bibtype":"article","type":"article","title":"The health economic burden that acute and chronic wounds impose on an average clinical commissioning group/health board in the UK","volume":"26","issn":"0969-0700","doi":"10.12968/jowc.2017.26.6.292","abstract":"OBJECTIVE: To estimate the patterns of care and related resource use attributable to managing acute and chronic wounds among a catchment population of a typical clinical commissioning group (CCG)/health board and corresponding National Health Service (NHS) costs in the UK. METHOD: This was a sub-analysis of a retrospective cohort analysis of the records of 2000 patients in The Health Improvement Network (THIN) database. Patients' characteristics, wound-related health outcomes and health-care resource use were quantified for an average CCG/health board with a catchment population of 250,000 adults ≥18 years of age, and the corresponding NHS cost of patient management was estimated at 2013/2014 prices. RESULTS: An average CCG/health board was estimated to be managing 11,200 wounds in 2012/2013. Of these, 40% were considered to be acute wounds, 48% chronic and 12% lacking any specific diagnosis. The prevalence of acute, chronic and unspecified wounds was estimated to be growing at the rate of 9%, 12% and 13% per annum respectively. Our analysis indicated that the current rate of wound healing must increase by an average of at least 1% per annum across all wound types in order to slow down the increasing prevalence. Otherwise, an average CCG/health board is predicted to manage \\textasciitilde23,200 wounds per annum by 2019/2020 and is predicted to spend a discounted (the process of determining the present value of a payment that is to be received in the future) £50 million on managing these wounds and associated comorbidities. CONCLUSION: Real-world evidence highlights the substantial burden that acute and chronic wounds impose on an average CCG/health board. Strategies are required to improve the accuracy of diagnosis and healing rates.","language":"eng","number":"6","journal":"Journal of Wound Care","author":[{"propositions":[],"lastnames":["Guest"],"firstnames":["J.","F."],"suffixes":[]},{"propositions":[],"lastnames":["Vowden"],"firstnames":["K."],"suffixes":[]},{"propositions":[],"lastnames":["Vowden"],"firstnames":["P."],"suffixes":[]}],"month":"June","year":"2017","pmid":"28598761","keywords":"Cost, burden, clinical commissioning group, health board, ulcers, wounds","pages":"292--303","bibtex":"@article{guest_health_2017,\n\ttitle = {The health economic burden that acute and chronic wounds impose on an average clinical commissioning group/health board in the {UK}},\n\tvolume = {26},\n\tissn = {0969-0700},\n\tdoi = {10.12968/jowc.2017.26.6.292},\n\tabstract = {OBJECTIVE: To estimate the patterns of care and related resource use attributable to managing acute and chronic wounds among a catchment population of a typical clinical commissioning group (CCG)/health board and corresponding National Health Service (NHS) costs in the UK.\nMETHOD: This was a sub-analysis of a retrospective cohort analysis of the records of 2000 patients in The Health Improvement Network (THIN) database. Patients' characteristics, wound-related health outcomes and health-care resource use were quantified for an average CCG/health board with a catchment population of 250,000 adults ≥18 years of age, and the corresponding NHS cost of patient management was estimated at 2013/2014 prices.\nRESULTS: An average CCG/health board was estimated to be managing 11,200 wounds in 2012/2013. Of these, 40\\% were considered to be acute wounds, 48\\% chronic and 12\\% lacking any specific diagnosis. The prevalence of acute, chronic and unspecified wounds was estimated to be growing at the rate of 9\\%, 12\\% and 13\\% per annum respectively. Our analysis indicated that the current rate of wound healing must increase by an average of at least 1\\% per annum across all wound types in order to slow down the increasing prevalence. 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